Kimberly W Miller, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY 8794 Issued in FL

Practice address

3457 Brook Crossing Dr
Brandon, FL 33596

Phone

(813) 708-9157

Fax

(813) 600-5503

NPI assigned

Aug 29, 2013

Last updated

Oct 14, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kimberly W. Miller, Psy.D., P.a.

  • Clinical Psychologist
  • Brandon, FL
  • NPI 1275969453
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381708800000",
    "number": "1851725584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3457 BROOK CROSSING DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "33596",
            "telephone_number": "813-708-9157",
            "fax_number": "813-600-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3457 BROOK CROSSING DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "33596",
            "telephone_number": "813-708-9157",
            "fax_number": "813-600-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KIMBERLY",
        "middle_name": "W",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 8794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen E Miller-Tuckett, LCPC-C
• Anthony Darnell Miller, MA LMHC
• Chante Miller, BS,CRDH, EFDA,
• Holly C Miller, LMFT
• Jakayla Miller
• Melissa Ann Miller
• Michael Miller, OT
• Michele Miller, DC
• Raffi Miller, DMD
• Robert Miller, AA

• Clinical Psychologist in Brandon, FL
• Providers in Brandon, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.